CHINESE GENERAL HOSPITAL AND MEDICAL CENTER

INSTITUTE OF PATHOLOGY
CLINICAL PATHOLOGY DEPARTMENT
Manila, Philippines
MOLECULAR PATHOLOGY RESULT

Specimen No.: CVO-62960 DateTime Requested: August 1, 2020

Patient Name: MONTENEGRO, MARISSA ACOSTA DateTime Collected: August 1, 2020 12:26 PM
Age/Gender: 33 / FEMALE DateTime Received: August 1, 2020
Date Of Birth: May 23, 1987 DateTime Released: August 2, 2020 10:20 PM
Room: OP Requested By: Dr. JAMES BAGAY
Patient Class: OUTPATIENT/WALK-IN CS/OR#:
Hospital / LGU: CGHMC-ANNEX Passport Number:

EXAMINATION: SARS-CoV-2 *RNA RT-PCR TEST

Qualitative Detection by Real-Time PCR

SPECIMEN: Nasopharyngeal Swab and Oropharyngeal Swab

RESULT:
ASSAY: INTERPRETATION
SARS-Cov-2 NEGATIVE

REMARKS: *Ribonucleic Acid Reverse Transcription-Polymerase Chain Reaction Test. Please correlate the results
of this test with all clinical and imaging findings.

Methodology: Ribonucleic acid extraction was performed using RNA Extraction Kit. SARS-Cov-2 viral N Gene, ORF Gene, E gene or S
PCR amplification and detection were done with Real-Time PCR machines, QuantStudio5, with positive and negative controls
included in each run to confirm validity and accuracy of results.
Significance: This test is intended to be used to achieve qualitative detection of SARS-CoV-2, the causative agent of COVID-19,
extracted from nasopharyngeal swabs, oropharyngeal swabs, sputum and bronchoalveolar lavage specimen of patients.

Limitations: The detection of viral RNA is dependent on the viral load if the specimen was collected very early in the infection.
Pre-analytical variables (i.e. specimen quality, handling/transport condition) may also affect the results.

The performance characteristics of this laboratory developed test have been validated at the Institute of Pathology-Molecular
Pathology Section, and is continuously being monitored by the Institute as part of its quality assurance procedures, including
enrolment with external proficiency testing at Research Institute for Tropical Medicine (RITM).

ZENITH ANNE P DURAN | JHONAMARI DAVID DR. DAPHNE C. ANG DR. EVELINA N. LAGAMAYO
MEDICAL TECHNOLOGIST PATHOLOGIST PATHOLOGIST
PRC ID: 80689 | 82984 PRC ID:102523 PRC ID:49241

Print DateTime: 08/03/2020 11:36:02 AM

 CHINESE GENERAL HOSPITAL AND MEDICAL CENTER
INSTITUTE OF PATHOLOGY
Manila, Philippines

Date: August 2, 2020

CERTIFICATION

To whom it may concern:

This is to certify that Mr/Ms. MONTENEGRO, MARISSA ACOSTA underwent COVID - 19 RT-PCR
test on 08/01/2020 at Chinese General Hospital and Medical Center which is a health institution
recognized by the Government of the Philippines (Please see attached result)

Passport No.:
Date and Time of Specimen Collection: 08/01/2020 12:26:00 PM
Test Conducted: SARS-COV-2 Ribonucleic Acid Reverse Transcription Polymerase Chain Reaction (RT-PCR)
Test

Remarks and Recommendations:

* NEGATIVE for the presence of SARS-COV-2 Virus at the time of testing
* Continue COVID-19 precautionary measures.

This certificate is issued upon the request of the patient for whatever purpose it may serve
(except for medico-legal purposes).
Thank you.

Evelina N. Lagamayo, MD / Daphne C. Ang, MD

License No. 49241 / 102523

CLINICAL LABORATORY FOR COVID-19

DOH LICENSE TO OPERATE
LICENSE NUMBER 13-0005-2020-CT-2
15 APRIL 2020 - 13 DECEMBER 2020
ISO 9001:2015 CERTIFIED